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101. 发明申请

US20130085509A1 METHODS AND DEVICES FOR REMOTELY CONTROLLING MOVEMENT OF SURGICAL TOOLS 有权
标题翻译：用于远程控制外科手术运动的方法和装置
公开(公告)号：US20130085509A1
公开(公告)日：2013-04-04
申请号：US13249714
申请日：2011-09-30
申请人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
发明人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
IPC分类号： A61B19/00
CPC分类号： A61B34/37 , A61B34/30 , A61B34/70 , A61B2017/00022 , A61B2017/00207
摘要： Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.
摘要翻译：提供了用于控制手术器械的远端的运动的方法和装置。通常，所述方法和装置可以允许控制手术工具的移动，并且特别是用于在外部控制单元和位于患者体内的手术工具之间引起模拟的运动。在一个实施例中，提供具有主组件的外科系统，所述主组件包括输入工具和包括外科器械的从属组件。主组件和从组件可以被配置为电子耦合在一起，使得主组件的运动可以电子地传递到从组件以引起从组件的模拟运动。

102. 发明申请

US20080275297A1 ENDOSCOPIC GUIDE DEVICE 有权
标题翻译：内窥镜指导装置
公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

103. 发明授权

US09241770B2 Methods and devices for remotely controlling movement of surgical tools 有权
标题翻译：用于远程控制手术工具运动的方法和装置
公开(公告)号：US09241770B2
公开(公告)日：2016-01-26
申请号：US13249714
申请日：2011-09-30
申请人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
发明人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
IPC分类号： A61B19/00 , A61B17/00
CPC分类号： A61B34/37 , A61B34/30 , A61B34/70 , A61B2017/00022 , A61B2017/00207
摘要： Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.
摘要翻译：提供了用于控制手术器械的远端的运动的方法和装置。通常，所述方法和装置可以允许控制手术工具的移动，并且特别是用于在外部控制单元和位于患者体内的手术工具之间引起模拟的运动。在一个实施例中，提供具有主组件的外科系统，所述主组件包括输入工具和包括外科器械的从属组件。主组件和从组件可以被配置为电子耦合在一起，使得主组件的运动可以电子地传递到从组件以引起从组件的模拟运动。

104. 发明申请

US20100174311A1 Actuation Apparatus and Method 审中-公开
标题翻译：致动装置及方法
公开(公告)号：US20100174311A1
公开(公告)日：2010-07-08
申请号：US12724439
申请日：2010-03-16
申请人： Rudolph Nobis , Christopher J. Hess , Michael J. Stokes
发明人： Rudolph Nobis , Christopher J. Hess , Michael J. Stokes
IPC分类号： A61B17/29 , A61B17/94
CPC分类号： A61B10/06 , A61B17/2909 , A61B17/3201 , A61B17/32056 , A61B17/3478 , A61B2017/00292 , A61B2017/00367 , A61B2017/00477
摘要： An endoscopic accessory medical device is provided. The device can include a handle, a flexible shaft, and an end effector. The handle can include an actuator for operating the end effector through a wire or cable pulling member that extends through the flexible shaft. The handle and actuator can be operable with a single hand, such that the operation of the end effector can be accomplished with the same hand that is used to hold the handle and advance the end effector through an endoscope. The handle can include an actuation mechanism that is decoupled from operation of the end effector when the actuator is in a first open position, which becomes operatively coupled to the end effector when the actuator is moved to a second position, such as by squeezing the actuator, and which operates the end effector when the actuator is moved further to a third position.
摘要翻译：提供内窥镜附件医疗装置。该装置可以包括手柄，柔性轴和端部执行器。手柄可以包括致动器，用于通过延伸穿过柔性轴的电线或电缆牵引构件来操作端部执行器。手柄和致动器可以用单手操作，使得端部执行器的操作可以用用于保持手柄并使端部执行器通过内窥镜前进的相同的手来实现。手柄可以包括致动机构，当致动器处于第一打开位置时，致动机构与端部执行器的操作分离，当致动器移动到第二位置时，该致动机构可操作地联接到端部执行器，例如通过挤压致动器，并且当致动器进一步移动到第三位置时，其操作端部执行器。

105. 发明授权

US08721529B2 Devices and methods for providing suction and/or irrigation in a surgical procedure 有权
标题翻译：用于在外科手术中提供抽吸和/或灌注的装置和方法
公开(公告)号：US08721529B2
公开(公告)日：2014-05-13
申请号：US13250123
申请日：2011-09-30
申请人： Christopher J. Hess , Duane Linenkugel , David B. Griffith
发明人： Christopher J. Hess , Duane Linenkugel , David B. Griffith
IPC分类号： A61B1/12
CPC分类号： A61B17/320092 , A61B1/015 , A61B90/361 , A61B90/70 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/3454 , A61B2217/005 , A61B2217/007
摘要： Methods and devices are provided for providing suction and/or irrigation to locations within a body cavity. In general, the methods and devices can allow instruments within a body cavity to be cleaned during a surgical procedure without having to remove the instruments from the body cavity. In one embodiment, an end effector is provided that includes an elongate body having a cleaning base formed thereon. The end effector can be configured as a modular element configured to be removably and replaceably attachable to a distal end of an elongate shaft. The cleaning base can have one or more ports formed through a surface thereof. The cleaning base can be configured to provide suction and/or irrigation through the one or more ports to clean a face of a surgical instrument seated in the cleaning base or in close proximity to the cleaning base.
摘要翻译：提供了用于向体腔内的位置提供抽吸和/或冲洗的方法和装置。通常，方法和装置可以允许在外科手术过程中清洁体腔内的器械，而不必从体腔中移除器械。在一个实施例中，提供端部执行器，其包括细长主体，其具有形成在其上的清洁基座。端部执行器可以被配置为被构造成可移除地和可替换地附接到细长轴的远端的模块化元件。清洁基座可以具有通过其表面形成的一个或多个端口。清洁基座可以构造成通过一个或多个端口提供抽吸和/或冲洗以清洁位于清洁基座中或紧邻清洁基座的外科器械的面部。

106. 发明授权

US08328808B2 Minimally invasive orthopaedic apparatus and methods 有权
标题翻译：微创矫形器和方法
公开(公告)号：US08328808B2
公开(公告)日：2012-12-11
申请号：US10480053
申请日：2002-05-24
申请人： Pamela C. Guzman , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
发明人： Pamela C. Guzman , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
IPC分类号： A61B17/56
CPC分类号： A61B17/921 , A61B1/00154 , A61B1/0615 , A61B17/00234 , A61B17/0218 , A61B17/1604 , A61B17/1635 , A61B17/1655 , A61B17/1664 , A61B17/1703 , A61B17/1717 , A61B17/1725 , A61B17/1728 , A61B17/1735 , A61B17/1782 , A61B17/72 , A61B17/744 , A61B17/808 , A61B17/8685 , A61B17/8866 , A61B90/02 , A61B2090/08021 , A61F2/4644 , A61F2002/4635 , A61F2002/4649
摘要： Apparatus (20, 120, 300) and methods for use in the performance of minimally invasive orthopedic procedures, including apparatus and methods for use in the performance of such procedures under the visualization of an endoscope (22), are herein disclosed. Such procedures include a minimally invasive intramedullary nailing procedure, a minimally invasive bone graft harvesting procedure, a minimally invasive pelvic osteotomy procedure, an orthopedic implant revision procedure, and a minimally invasive percutaneous bone plating procedure.
摘要翻译：本文公开了用于执行微创骨科手术的装置（20,120,300）以及用于执行微创矫形手术的方法，包括用于在内窥镜（22）的可视化下执行这种程序的装置和方法。这样的程序包括微创髓内钉术，微创骨移植物收获程序，微创骨盆截骨术，矫形植入物修复程序和微创经皮骨移植程序。

107. 发明申请

US20120065627A1 Non-Clumping Unit For Use With A Magnetic Surgical System 审中-公开
标题翻译：用于磁性手术系统的非结合单元
公开(公告)号：US20120065627A1
公开(公告)日：2012-03-15
申请号：US12879310
申请日：2010-09-10
申请人： Ragae M. Ghabrial , James T. Spivey , Christopher J. Hess , Sean P. Conlon
发明人： Ragae M. Ghabrial , James T. Spivey , Christopher J. Hess , Sean P. Conlon
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/0281 , A61B34/73 , A61B2017/00106 , A61B2017/00876 , A61B2018/00273 , A61B2034/302
摘要： A surgical device comprises an ex vivo magnet and an in vivo sled magnetically attracted to the ex vivo magnet. The sled can be positioned and anchored within a patient by moving the ex vivo magnet. The sled defines a longitudinal axis. An arm extends from the sled. The arm is moveable relative the sled between a retracted position and an extended position. The arm comprises an end effector. A locking mechanism operatively connected to the arm to lock the arm in the retracted and extended positions. The mechanism may include a rack that both rotates about a pinion and translates tangentially about the pinion.
摘要翻译：手术装置包括离体磁体和磁性吸引到体外磁体的体内滑板。可以通过移动离体磁体将雪橇定位并锚定在患者体内。滑雪板限定纵向轴线。手臂从雪橇延伸。臂可以在缩回位置和伸出位置之间相对于滑板移动。臂包括端部执行器。锁定机构，可操作地连接到臂上，以将臂锁定在缩回和伸出位置。该机构可以包括一个齿条，它们围绕小齿轮转动并围绕小齿轮相切地平移。

108. 发明授权

US08052702B2 Vessel harvesting retractor with bilateral electrosurgical ligation 有权
标题翻译：采用双侧电外科手术结扎的收缩收缩器
公开(公告)号：US08052702B2
公开(公告)日：2011-11-08
申请号：US10816024
申请日：2004-04-01
申请人： Christopher J. Hess , Gary W. Knight , Michael F. Clem , Rudolph H. Nobis , Dale R. Schulze , Kristin L. Jambor
发明人： Christopher J. Hess , Gary W. Knight , Michael F. Clem , Rudolph H. Nobis , Dale R. Schulze , Kristin L. Jambor
IPC分类号： A61B1/32 , A61B17/22
CPC分类号： A61B17/00008 , A61B17/32 , A61B18/1442 , A61B2017/1225 , A61B2018/0063
摘要： A method and device for endoscopic harvesting of blood vessels from a patient for use in subsequent procedures. The device having a two piece headpiece. A vessel to be removed is inserted into the headpiece and the top and bottom portions of the headpiece are alternatively extended in reciprocating fashion to dissect above and below the vessel. The headpiece having electrodes for ligation of any side branch vessels which are uncovered in the dissection process.
摘要翻译：用于从患者内窥镜收集血管以用于随后程序的方法和装置。该装置具有两件头盔。要移除的容器被插入到头盔中，头盔的顶部和底部交替地以往复方式延伸以在容器的上方和下方剖开。头部具有用于连接在解剖过程中未被覆盖的任何侧分支血管的电极。

109. 发明申请

US20110040309A1 IMPLANTABLE RESTRICTION DEVICE WITH SPACER 审中-公开
标题翻译：带间隔的可植入限制装置
公开(公告)号：US20110040309A1
公开(公告)日：2011-02-17
申请号：US12541579
申请日：2009-08-14
申请人： Daniel F. Dlugos, JR. , Chad P. Boudreaux , Robert P. Gill , Steven G. Hall , Christopher J. Hess , Jerome R. Morgan , Frederick E. Shelton, IV , Jeffrey S. Swayze , Omar J. Vakharia , Lauren S. Weaner , William Bruce Weisenburgh, II , Andrew M. Zwolinski
发明人： Daniel F. Dlugos, JR. , Chad P. Boudreaux , Robert P. Gill , Steven G. Hall , Christopher J. Hess , Jerome R. Morgan , Frederick E. Shelton, IV , Jeffrey S. Swayze , Omar J. Vakharia , Lauren S. Weaner , William Bruce Weisenburgh, II , Andrew M. Zwolinski
IPC分类号： A61B17/00
CPC分类号： A61F5/005 , A61F5/0086
摘要： An implantable restriction device includes a belt and a balloon secured to the belt for engagement with tissue when the implantable restriction device is positioned about the stomach. A spacer is associated with the belt for maintaining the restriction device in a spaced relation with a staple line employed during gastric reduction surgery.
摘要翻译：植入式限制装置包括带和固定到带上的球囊，当可植入的限制装置围绕胃定位时，与球体接合。间隔件与带相关联，用于将限制装置与胃减压手术期间使用的缝合线保持间隔开。

110. 发明申请

US20100312061A1 METHODS AND DEVICES FOR PROVIDING ACCESS THROUGH TISSUE TO A SURGICAL SITE 有权
标题翻译：用于向外科手术组织提供接近的方法和装置
公开(公告)号：US20100312061A1
公开(公告)日：2010-12-09
申请号：US12479293
申请日：2009-06-05
申请人： Christopher J. Hess , Daniel H. Duke , Daniel J. Mumaw , Katherine J. Schmid , Christopher W. Widenhouse , Frederick E. Shelton, IV
发明人： Christopher J. Hess , Daniel H. Duke , Daniel J. Mumaw , Katherine J. Schmid , Christopher W. Widenhouse , Frederick E. Shelton, IV
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3462 , A61B2017/3429
摘要： Methods and devices are provided for providing access through tissue to a surgical site. A surgical access device can be configured to be positioned in tissue to provide access through a working channel of the access device to a body cavity underlying the tissue. The access device can include a sealing element positioned at least partially within the working channel. The sealing element can be formed of a puncturable self-sealing material such as a gel and/or a foam configured to provide a channel seal that seals the working channel when no instrument is inserted through the sealing element and configured to provide an instrument seal that provides a seal around one or more surgical instruments inserted through the sealing element.
摘要翻译：提供了用于提供通过组织进入外科手术部位的方法和装置。外科进入装置可以被配置为定位在组织中以提供通过进入装置的工作通道到组织下方的体腔的通路。进入装置可以包括至少部分地定位在工作通道内的密封元件。密封元件可以由诸如凝胶和/或泡沫的可刺破的自密封材料形成，其被配置成提供通道密封件，当通过密封元件插入仪器时，通道密封件可密封工作通道，并且构造成提供仪器密封件，围绕通过密封元件插入的一个或多个手术器械提供密封。

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